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Individual

DR. JUDY M CRAYTHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3575 PECOS MCLEOD, LAS VEGAS, NV 89121-3803
(702) 731-2088
(702) 734-7836
Mailing address
3575 PECOS MCLEOD, LAS VEGAS, NV 89121-3803
(702) 731-2088
(702) 734-7836

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
171870-1205
UT
207W00000X
Ophthalmology Physician
Primary
5468
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002002787
NV
01
1218020001
NAS-DME
01
5010
MEDICAL EYE SERVICES
01
5468
BLUE CROSS BLUE SHIELD
01
P00454782
PALMETTO RAILROAD
Enumeration date
03/24/2006
Last updated
02/06/2014
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